Search › Maryland › 183500000X
Brian Russell, BS, RPH, DPH, BCMTMS
NPI 1467126557 · on the registry since 2021 · sole proprietor
Practice
- Address
- 12709 Tayman Farm Rd
Brandywine, MD 20613 - Phone
- (405) 417-1604
Registry record
- Primary taxonomy
- 183500000X
183500000X
- Also registered as
- 183500000X
- Licence states on file
- OK, FL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-08-03
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Maryland